Where should a pregnant person at 34 weeks with preeclampsia deliver?
- A. Level I hospital
- B. Level II hospital
- C. home
- D. in-hospital birthing center
Correct Answer: B
Rationale: Level II hospitals are equipped to manage preeclampsia at 34 weeks. Home or Level I hospitals lack necessary resources.
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An expectant mother asks the nurse when her baby’s heart will begin to beat. The nurse explains that this will occur at which time?
- A. The 8th gestational week
- B. The 4th gestational week
- C. The 12th gestational week
- D. The 16th gestational week
Correct Answer: B
Rationale: The heart begins to beat by the 4th gestational week.
The nurse must be cognizant that an individual's genetic makeup is known as his or her:
- A. Genotype.
- B. Phenotype.
- C. Karyotype.
- D. Chromotype.
Correct Answer: A
Rationale: The genotype comprises all the genes the individual can pass on to a future generation.
The nurse works in an infertility clinic and is interviewing a male patient whose partner has been unable to conceive. Which finding obtained during a health history will cause the nurse greatest concern?
- A. The patient is a passionate gardener.
- B. The patient had a vasectomy reversed.
- C. The patient rides a bicycle daily to work.
- D. The patient is concerned about infertility.
Correct Answer: B
Rationale: A vasectomy reversal can lead to the development of antibodies that reduce sperm motility, impacting fertility.
The nurse is providing education about the newborn to a pregnant person and the soon-to-be grandparents. What information is the most important for the nurse to discuss to assist the extended family in adapting to their new role?
- A. how to bathe the newborn
- B. extended family role expectations
- C. childbirth preparation
- D. breast-feeding
Correct Answer: B
Rationale: Addressing extended family role expectations helps them adapt to the newborn. Other choices focus on practical baby care.
What patient statement indicates the need for further education about amniocentesis?
- A. “It can be used to test for neural tube defects.”
- B. “It is performed between 15 and 20 weeks’ gestation.”
- C. “It is performed using a sterile needle to withdraw a sample of amniotic fluid.”
- D. “The sample can be obtained using a transcervical approach.”
Correct Answer: D
Rationale: Amniocentesis is performed transabdominally, not transcervically, to obtain amniotic fluid.